Individual provider Active NPI

Seung Yeop Lee

  • Dentist
  • Compton, CA
National Provider Identifier
1174021158
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DFS100348 Issued in CA
Practice address
1308 E Alondra Blvd
Compton, CA 90221-4402
Phone
(213) 999-1928
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DFS100348 CA Primary

Addresses

Primary practice location

1308 E Alondra Blvd
Compton, CA 90221-4402

Mailing address

607 Lillian Way
Los Angeles, CA 90004-1107
Phone (213) 999-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DFS100348CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Seung Yeop Lee D.D.S Inc CurrentSince Jul 5, 2020 Accepting new patients
Joon Hee Lee DMD Dental Corporation PastSince Dec 15, 2019 Accepting new patients

Locations

1308 E Alondra Blvd
Compton, CA 90221
Phone (213) 999-1928

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1174021158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 LILLIAN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041107",
            "telephone_number": "213-999-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E ALONDRA BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902214402",
            "telephone_number": "213-999-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNG YEOP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DFS100348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.